| Family Walk In Medical Center, Pc | |
|
15280 Nw Central Dr Suite 204 Portland OR 97229 | |
| (503) 531-3858 | |
| (503) 645-1110 |
| Full Name | Family Walk In Medical Center, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 15280 Nw Central Dr, Portland, Oregon |
| Authorized Official Name and Position | Shagufta Hasan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5035313858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Walk In Medical Center, Pc 15280 Nw Central Dr Suite 204 Portland OR 97229 Ph: (503) 531-3858 | Family Walk In Medical Center, Pc 15280 Nw Central Dr Suite 204 Portland OR 97229 Ph: (503) 531-3858 |
| NPI Number | 1194992305 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194992305 | NPI | - | NPPES |
| 287934 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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